Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DERRICK BLANE MONSON, PTA
Active Sole ProprietorMR. DERRICK BLANE MONSON, PTA is a Assisted Living Facility healthcare provider located in LAMAR, Colorado. NPI 1750574729 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · LAMAR, CO
Registration Details
- NPI Number
- 1750574729
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2007 (18.972092482162 yrs)
- Last Updated
- Aug 23, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
508 SOUTH 9TH STREETAPT. # 13LAMAR, CO, 810523239Browse CO providers · Browse ZIP 81052
- Phone
- 7193420195
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.